Basic Information
| Provider Information | |||||||||
| NPI: | 1053760330 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LETTS | ||||||||
| FirstName: | RHETA | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 304 S NIAGARA ST | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486021570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897996542 | ||||||||
| FaxNumber: | 9897996681 | ||||||||
| Practice Location | |||||||||
| Address1: | 304 W TOBIAS ST | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485033975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102334093 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2016 | ||||||||
| LastUpdateDate: | 12/15/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 4704262144 | MI | Y | Nursing Service Providers | Registered Nurse |
No ID Information.